糖尿病白内障患者的临床手术治疗时机与治疗效果分析

Analysis on the optimal time of clinical surgical treatment in patients with diabetic cataract and its therapeutic effect

目的分析糖尿病白内障患者的临床手术治疗时机与治疗效果。方法选取2017年4~11月营口鲅鱼圈渤海爱尔眼科医院收治的168例糖尿病白内障患者作为研究对象。根据手术治疗时机的不同,将所有患者分为三组,其中甲组(72例)患者选择空腹血糖<5.9 mmol/L时期进行白内障手术,乙组(66例)患者选择空腹血糖维持在6.0~7.0 mmol/L时期进行白内障手术治疗,丙组(30例)患者选择空腹血糖维持在7.1~8.0 mmol/L时期进行白内障手术治疗。将所有患者治疗后的视力恢复情况与治疗前进行比较,并分析三组患者并发症的发生情况。结果所有患者的视力均较治疗前得到改善,差异有统计学意义(P<0.05);丙组患者并发症发生率(86.67%)高于甲、乙两组,差异有统计学意义(P<0.05)。结论糖尿病白内障患者在进行手术治疗时,应根据其空腹血糖水平合理选择手术时机,可有效改善患者视力,降低并发症发生率。

Objective To analyze the optimal time of clinical surgery for patients with diabetic cataract and its therapeutic effect.Methods From April to November in 2017,168 patients suffering from diabetic cataract treated in the Bayuquan Bohai Aier Eye Hospital,Yingkou City were selected as research objects.According to different time points of the surgeries,they were divided into three groups,group A(n=72)had cataract surgery when fasting blood glucose<5.9 mmol/L),group B(n=66)had cataract surgery when fasting blood glucose ranging from 6.0 mmol/L to 7.0 mmol/L,and group C(n=30)had cataract surgery when fasting blood glucose maintaining 7.1-8.0 mmol/L.Vision recovery before and after treatment was compared in all patients.The occurrence of complications among three groups was analyzed.Results The vision were all improved after surgeries in all patients compared with that before treatment,with a significant difference(P<0.05).The incidence of complications in group C(86.67%)was higher than that in group A and B,with statistical significance(P<0.05).Conclusion Surgical treatment for diabetic cataract patients should select an appropriate timing based on the fasting blood glucose level,which can effectively improve the vision and reduce the incidence of complications.